# PATHEWAY LIFE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Apatheway Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558190819
- **Authorized official:** CHUPAL CRUMP (CEO)
- **Authorized official phone:** (708) 698-0033

## Contact information

- **Practice address:** 15411 W WADDELL RD STE 102, SURPRISE, AZ 85379-5170
- **Practice address phone:** (708) 698-0033
- **Mailing address:** 3379 PEACHTREE RD NE STE 756, ATLANTA, GA 30326-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/26/2024
- **Last updated:** 07/26/2024